【方歌】颧疡颧疽渐榴形，风热积热小肠经，疡起焮红浮肿痛，
疽紫漫硬木麻疼。
【注】此二证发于颧骨尖处，属小肠经，不论左右，初小渐大
如榴。发阳分者，由风热而生，初起焮红，浮肿，疼痛
，七日即溃，名为颧疡，毒轻根浅易愈；发阴分者，由
积热而生，色紫，漫肿，坚硬，麻木，疼痛，三七方溃
，名为颧疽，毒甚根深难愈。疡证初宜仙方活命饮，疽
证初宜内疏黄连汤或麦灵丹。其余内外治法，俱按痈疽
肿疡溃疡门。
方剂：仙方活命饮、内疏黄连汤、麦灵丹（俱见肿疡门）
【方歌】颧疔初起粟米形，证由阳明火毒生，坚硬顶凹根深固，
寒热交作麻痒疼。
【注】此证生在颧骨之间，属阳明胃经，不论左右，初如粟米
黄色小疱，次如赤豆，顶凹坚硬，按似疔头，麻痒疼痛
。多因过食炙〔火搏〕、药酒，以致胃经积火成毒而生
。初宜蟾酥丸，或麦灵丹汗之，次服黄连消毒饮清之。
外治法同疔门，凡疔皆属迅速之证，初觉即当急治，迟
则毒火攻心，令人昏愦谵语，恶证悉添，多致不救。
方剂：蟾酥丸（见疔疮门）
麦灵丹（见肿疡门）
黄连消毒饮（见头部百会疽）
【方歌】面发毒在颊车生，初少渐多赤豆形，肿硬焮疼津黄水，
证属风热客阳明。
【注】此证生面上颊车骨间。初生一个，渐发数枚，形如赤豆
，色红焮痛，坚硬似疔，时津黄水。由风热客于阳明，
上攻而成。初宜服荆防败毒散汗之。若胃火盛，则唇焦
口渴，便燥者即服凉膈散下之，法以清凉消毒散敷之即
愈。
方剂：凉膈散
组成：黄芩 薄荷
栀子（生研） 连翘（去心）
石膏（生） 甘草（生）
芒硝 大黄（各等分）
水二钟，苦竹叶二十片，煎八分；加蜂蜜三匙和服
。
【方歌】凉膈散医肺胃热，口渴唇焦便燥结，芩薄栀翘石膏草，
芒硝大黄苦竹叶。
又方：清凉消毒散
组成：白芨 乳香
雄黄 天花粉
麝香 乌药
山慈菇 黄柏
各等分，共研细末，鸡子清和蜜水调敷。
【方歌】清凉消毒去风热，芨乳雄黄花粉麝，乌药慈菇黄柏研，
鸡清蜜调毒即灭。
又方：荆防败毒散（见项部脑疽）
【方歌】颧部疮疡与疽症逐渐呈现石榴般的形态，病机为风热或积热蕴结于小肠经。疮疡表现为红肿灼热、浮肿疼痛；疽症则颜色紫暗、漫肿坚硬、麻木疼痛。
【注】这两种病症均发于颧骨尖端部位，归属于小肠经，无论左侧还是右侧，初期较小，随后逐渐增大如石榴状。发于阳分的，由风热之邪引起，初起时红肿灼热、浮肿、疼痛，七日左右即可溃破，称为“颧疡”，毒邪较轻、病位较浅，容易治愈；发于阴分的，由积热内生引起，颜色紫暗、漫肿、坚硬、麻木、疼痛，约二十一天（三七日）后才溃破，称为“颧疽”，毒邪深重、病根深固，难以治愈。对于疡证初期，适宜使用仙方活命饮；对于疽证初期，适宜使用内疏黄连汤或麦灵丹。其余内外治疗方法，均参照痈疽肿疡和溃疡章节执行。
方剂：仙方活命饮、内疏黄连汤、麦灵丹（均见于肿疡门）
【方歌】颧疔初起时呈粟米状，病证由阳明胃经的火毒产生，患处坚硬、顶部凹陷、根基牢固，伴有寒热交替、麻木瘙痒及疼痛。
【注】此证生于颧骨之间，归属于阳明胃经，无论左侧还是右侧，初起时如同黄色粟米般的小疱，随后变为赤豆大小，顶部凹陷且坚硬，按压似疔头，伴有麻木、瘙痒和疼痛。多因过食炙烤食物和药酒，导致胃经积火成毒而生。初期适宜服用蟾酥丸，或使用麦灵丹发汗解表，随后服用黄连消毒饮以清热解毒。外治法同疔疮门所述。凡是疔疮都属于发病迅速的病症，初觉不适即当紧急治疗，若延误时机，毒火攻心，会导致人神志昏乱、胡言乱语，各种恶证全部出现，大多导致死亡，无法救治。
方剂：蟾酥丸（见疔疮门）
麦灵丹（见肿疡门）
黄连消毒饮（见头部百会疽）
【方歌】面发毒生于颊车穴部位，初起较少，渐多呈赤豆形状，肿胀坚硬、红肿疼痛、渗出黄水，病证属于风热客居于阳明经。
【注】此证生于面部颊车骨之间。初生一个，逐渐发展为数个，形状如赤豆，颜色红赤、灼热疼痛，质地坚硬似疔，时常渗出黄水。由风热之邪客居于阳明经，向上攻冲而成。初期适宜服用荆防败毒散以发汗解表。若胃火旺盛，出现嘴唇焦枯、口渴、大便干燥者，立即服用凉膈散以泻下清热，并用清凉消毒散外敷，即可痊愈。
方剂：凉膈散
组成：黄芩、薄荷、栀子（生研）、连翘（去心）、石膏（生）、甘草（生）、芒硝、大黄（各等分）。
用水两钟，苦竹叶二十片，煎至八分；加入蜂蜜三匙调和服用。
【方歌】凉膈散治疗肺胃热盛，症状包括口渴、唇焦、大便燥结，药物包含黄芩、薄荷、栀子、连翘、石膏、甘草、芒硝、大黄及苦竹叶。
又一方：清凉消毒散
组成：白芨、乳香、雄黄、天花粉、麝香、乌药、山慈菇、黄柏。
各等分，共研为细末，用鸡蛋清和蜜水调匀后外敷。
【方歌】清凉消毒散去除风热，药物包含白芨、乳香、雄黄、天花粉、麝香、乌药、山慈菇、黄柏，研磨后用鸡清蜜调，毒邪即刻消除。
[Prescription Verse] The carbuncle and deep abscess on the zygoma gradually take on a shape resembling a pomegranate. The pathogenesis involves wind-heat or accumulated heat in the Small Intestine Meridian. The carbuncle presents with redness, swelling, burning sensation, edema, and pain; the deep abscess presents with purple discoloration, diffuse swelling, hardness, numbness, and pain.
[Annotation] These two conditions arise at the tip of the zygomatic bone and belong to the Small Intestine Meridian, regardless of whether they are on the left or right side. Initially small, they gradually enlarge like a pomegranate. Those arising in the Yang aspect are caused by wind-heat; initially presenting with redness, swelling, burning sensation, edema, and pain, they suppurate after about seven days. This is called "Zygoma Carbuncle" (Quan Yang). The toxin is mild, the root is shallow, and it is easy to heal. Those arising in the Yin aspect are caused by accumulated heat internally; presenting with purple color, diffuse swelling, hardness, numbness, and pain, they suppurate after twenty-one days (three sevens). This is called "Zygoma Deep Abscess" (Quan Ju). The toxin is severe, the root is deep, and it is difficult to heal. For the initial stage of the carbuncle condition, Xian Fang Huo Ming Yin (Immortal Life Elixir) is suitable. For the initial stage of the deep abscess condition, Nei Shu Huang Lian Tang (Internal Draining Coptis Decoction) or Mai Ling Dan is suitable. All other internal and external treatment methods should follow the chapters on Carbuncles/Abscesses, Swollen Ulcers, and Ulcerated Lesions.
Formulas: Xian Fang Huo Ming Yin (Immortal Life Elixir), Nei Shu Huang Lian Tang (Internal Draining Coptis Decoction), Mai Ling Dan (see Chapter on Swollen Ulcers).
[Prescription Verse] Zygoma Ding (hard nodule) initially appears in the shape of millet grains. The condition arises from fire-toxin in the Stomach Meridian of Foot-Yangming. It is hard, with a depressed apex and a firm root, accompanied by alternating chills and fever, numbness, itching, and pain.
[Annotation] This condition occurs between the zygomatic bones and belongs to the Stomach Meridian of Foot-Yangming, regardless of the side. Initially, it resembles a small yellow blister like a millet grain, then becomes like a red bean, with a depressed, hard apex that feels like a Ding head upon pressure, accompanied by numbness, itching, and pain. It is often caused by excessive consumption of roasted foods and medicinal wine, leading to accumulated fire in the Stomach Meridian transforming into toxin. Initially, Chan Su Wan (Toad Venom Pill) is suitable, or Mai Ling Dan can be used to induce sweating. Subsequently, Huang Lian Xiao Du Yin (Coptis Detoxification Decoction) should be taken to clear heat and detoxify. External treatments are the same as those described in the Ding chapter. All Dings are rapid-onset conditions; immediate treatment is required upon the first sign. Delay allows fire-toxin to attack the Heart, causing confusion, delirious speech, and various malignant symptoms, often leading to death and untreatability.
Formulas: Chan Su Wan (Toad Venom Pill) (see Chapter on Ding Sores); Mai Ling Dan (see Chapter on Swollen Ulcers); Huang Lian Xiao Du Yin (Coptis Detoxification Decoction) (see Bai Hui Acupoint Deep Abscess of the Head).
[Prescription Verse] Mian Fa Du (Facial Spreading Toxin) arises at the Jia Che point. Initially few, it gradually increases to resemble red beans. It presents with swelling, hardness, redness, burning pain, and exudation of yellow fluid. The condition belongs to wind-heat invading the Yangming Meridian.
[Annotation] This condition arises between the bones at the Jia Che point on the face. It starts as one lesion and gradually develops into several, resembling red beans, with red color, burning pain, hardness similar to a Ding, and frequent exudation of yellow fluid. It is caused by wind-heat invading the Yangming Meridian and attacking upwards. Initially, Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Decoction for Overcoming Toxins) is suitable to induce sweating. If Stomach Fire is excessive, manifesting as dry lips, thirst, and dry stool, Liang Ge San (Cooling the Diaphragm Powder) should be taken immediately to purge heat, and applied externally with Qing Liang Xiao Du San (Cooling and Detoxifying Powder) for cure.
Formula: Liang Ge San (Cooling the Diaphragm Powder)
Composition: Huang Qin (Scutellariae Radix), Bo He (Menthae Haplocalycis Herba), Zhi Zi (Gardeniae Fructus, raw and ground), Lian Qiao (Forsythiae Fructus, heart removed), Shi Gao (Gypsum Fibrosum, raw), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw), Mang Xiao (Natrii Sulfas), Da Huang (Rhei Radix et Rhizoma) in equal parts.
Decoct two zhong of water with twenty leaves of Ku Zhu Ye (Bitter Bamboo Leaf) until reduced to eight fen; add three spoons of honey and mix before taking.
[Prescription Verse] Liang Ge San treats Lung and Stomach Heat, with symptoms of thirst, dry lips, and constipation. Ingredients include Huang Qin, Bo He, Zhi Zi, Lian Qiao, Shi Gao, Gan Cao, Mang Xiao, Da Huang, and Ku Zhu Ye.
Another Formula: Qing Liang Xiao Du San (Cooling and Detoxifying Powder)
Composition: Bai Ji (Bletillae Rhizoma), Ru Xiang (Olibanum), Xiong Huang (Realgar), Tian Hua Fen (Trichosanthis Radix), She Xiang (Moschus), Wu Yao (Linderae Radix), Shan Ci Gu (Iphigeniae Bulbus), Huang Bo (Phellodendri Cortex).
In equal parts, grind into fine powder. Mix with egg white and honey-water for external application.
[Prescription Verse] Qing Liang Xiao Du San dispels wind-heat. Ingredients include Bai Ji, Ru Xiang, Xiong Huang, Tian Hua Fen, She Xiang, Wu Yao, Shan Ci Gu, and Huang Bo. Grind and mix with egg white and honey to extinguish the toxin.
Another Formula: Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Decoction for Overcoming Toxins) (see Nuchal Brain Abscess).